HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� n
Date: Permit Number: I / 0 1 • E✓2 p
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4DECEIVE®
Building Permit Application JUL 18
2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building l
Addressf " ' (__�Oil I
Property Tax ID #: �3 7 5C)4, - DG 1 D -yoo —s Lot No. 6 3
Site Plan Name: Block No.
Project Name:
Setbacks Front 2.545 " Back: SI•% ' Right Side: / D Left Side: / O O
Construct Single Family Residence P,--/ 12,
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 100,000.00 Utilities: LJ Sewer Septic Building Height:
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Name GHO Meadowood Corp.
Address: 590 NW Mercantile Place
City: Port St Lucie State: FL
Zip Code: 34986 Fax:561-688-0909
Phone No.772-873-1711
Name: William Handler
Company: GHO Homes Corp
Address: 590 NW Mercantile Place
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 561-688-0909
Phone No. 772-873-1711
E-Mail: rebeccad@ghohomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: rebeccad@ghohomes.com
State or County License: CBC051145
it value or construction is �1soU or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER-
Name: Nuelle Engineering
Address: 11634 sw Rowena si
City: Pell 51 Lutie
_ Not Applicable
Zip: 34967 Phone: 561.629.6975
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State: FL
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may res It in your paying twice for
improvements to your property. A Notice of Commencement must be recorde and posted on the jobsite
before the firs inspection. If you intend to obtain financing, consult with lend r or an attorney before
commencing vgork or recording vour Notice of Commencement.
s
SignatM—eof Ow s Tritractor as Agent for Owner Signature of Contractor/Li s der
STATE OF FL - l STATE OF FLORIDA
COUNTY OF COUNTY OF ---
The for oing instrument was acknowledged before me
this day of Tw(4 20 tby
William Handler 1
perso>Lacknow]edging )
ic- State of Florida )
Personayfy Known x OR Produced IdentificaW
Type of Identification Produced , Q beCe-a
Commission No.
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this/ '/7day of 20 L by
owledging )
Notary Public- State of Florida i
Person ly Known x OR Produced Identificatit(��a— 66
Type Identification Produced�_Ga. �r,V�
Commission No.
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